Individual provider Active NPI

Kristen Mary Melcher, LMHC, CCPT

  • Mental Health Counselor
  • Taunton, MA
National Provider Identifier
1922317924
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8659 Issued in MA
Practice address
35 Summer St
Suite 202a
Taunton, MA 02780-3469
Phone
(315) 345-5623
NPI assigned
Sep 26, 2010
Last updated
Sep 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 8659 MA Primary

Addresses

Primary practice location

35 Summer St
Suite 202a
Taunton, MA 02780-3469

Mailing address

35 Summer St
Suite 202a
Taunton, MA 02780-3469
Phone (315) 345-5623

Other identifiers 1

IdentifierTypeStateIssuer
# 8659OtherMAMENTAL HEALTH COUNSELOR LICENSE (LMHC)

Other names 1

  • Kristen Mary Fellows Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8659MAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1922317924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SUMMER ST",
            "address_2": "SUITE 202A",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803469",
            "telephone_number": "315-345-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SUMMER ST",
            "address_2": "SUITE 202A",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803469",
            "telephone_number": "315-345-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELCHER",
        "first_name": "KRISTEN",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "LMHC, CCPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-26",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH COUNSELOR LICENSE (LMHC)",
            "identifier": "# 8659",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "FELLOWS",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.